Idiopathic intracranial hypertension

Case contributed by Dr Sajoscha Sorrentino

Presentation

Pulsating headache and fluctuating visual problems. Opthalmologic examination showed papilledema.

Patient Data

Age: 40 years
Gender: Female
MRI

Brain

Typical partial empty sella turcica (e.g. 2-12 on the sagittal and 4-8 on the axial view) and the papilledema (e.g. 4-9 on the axial view).

Case Discussion

Imaging of the brain with CT and MRI is essential in patients with idiopathic intracranial hypertension, to exclude elevated cerebrospinal fluid pressure due to brain tumor, dural sinus thrombosis, hydrocephalus etc...

Treatment options include CSF letting, acetazolamide and lumboperitoneal shunts. In patients with progressive visual deterioration optic nerve fenestration to preserve vision.

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Case information

rID: 16023
Published: 5th Dec 2011
Last edited: 4th Nov 2019
Inclusion in quiz mode: Included

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